AASPA Newsline
Apr. 21, 2015

2015 AASPA CME Meeting & Surgical Update

We hope you will join us Oct. 1 – 4, 2015 at the Hilton Suites Chicago/Magnificent Mile, Chicago, Illinois, for our 15th Annual AASPA CME Meeting.

Join fellow surgical PAs, PA educators, PA students, pre-PA students and surgical industry leaders at the 15th Annual Surgical CME, preceding the Annual Clinical Congress of the American College of Surgeons!

This exciting, hands-on surgical meeting will be held at the fabulous Hilton Suites Chicago in the heart of incredible Chicago.

If you are looking for a qualified surgical PA, this is the ideal venue to fill that position. For industry exhibitors looking for "high touch face time" with surgical PAs, this is the ideal meeting for you!More

Register now for the 2015 FCCS — Fundamental Critical Care Support

Management principles for the first 24 hours of critical care. Two-day course — 16 hours of CME and Certificate of Completion and card.

Course will be held before the 15th Annual AASPA CME Meeting at the Hilton Suites Chicago/Magnificent Mile.

Register today!More

How to talk to patients about advanced directives
By Joan Spitrey
April 16 has been designated as National Healthcare Decision Day. This movement came out of the passion and frustration of founder Nathan Kottkamp. As a member of several hospital ethics committees, he was repeatedly challenged with trying to interpret healthcare decisions for people who had no advanced directives. Anyone working in a hospital — especially a critical care area — can certainly relate. Although most healthcare providers would agree that all patients should have an advanced directive, they often shy away from having the conversation with their patients. More

A 'game changer' for patients with joint damage?
Medscape (free login required)
Currently, physicians must discard over 80 percent of donated tissue used for joint replacements because the tissue does not survive long enough to be transplanted. Now, following a recent study, University of Missouri School of Medicine researchers have developed a new technology that more than doubles the life of the tissue. This new technology was able to preserve tissue quality at the required level in all of the donated tissues studied, the researchers found.More

Knee replacements, obesity and weight loss
U.S. News & World Report
Phyllis Warr, 60, needed knee surgery. Now retired, Warr was an English teacher at a Chicago-area high school, in an ancient building with three flights of stairs. With arthritic joint damage, she could hardly move about the school. “I had no cartilage in my left knee at all,” she says, “so it was bone on bone, rubbing every time I walked.” More

Optimal antibiotic regimen still controversial for endophthalmitis prophylaxis
Modern Medicine
Antibiotic prophylaxis for cataract surgery remains a controversial topic, despite convincing data showing the efficacy of intracameral antibiotic use for reducing the risk of postoperative endophthalmitis, said Francis S. Mah, M.D. “The low rate of postoperative infection and the potential for many different variables to affect the risk make it difficult to conduct an appropriate large-scale clinical trial,” said Dr. Mah, director, corneal and external disease, and co-director, refractive surgery, Scripps Clinic, La Jolla, California.More

Johns Hopkins researchers develop LevelCheck software to help improve surgical safety
News-Medical
Because the spine is made up of repeating elements that look alike, surgeons can mistakenly operate on the wrong vertebra. To avoid this, Johns Hopkins researchers have developed a software program that works seamlessly with currently available procedures to assist a surgeon’s determination of which vertebra is which. Results from its first clinical evaluation show that the LevelCheck software achieves 100 percent accuracy in just 26 seconds. Details of the study will appear in the April 15 issue of the journal Spine.More

Single-incision cholecystectomy more stressful, physically demanding to surgeon
Healio
Compared with 4-port laparoscopic cholecystectomy, single-incision laparoscopic cholecystectomy may be more stressful and physically demanding to surgeons, which could affect patient outcomes, according to data presented at the Society of American Gastrointestinal and Endoscopic Surgeons 2015 Annual Meeting. Juliane Bingener-Casey, M.D., from Mayo Clinic in Rochester, Minnesota, and colleagues performed a double blind, randomized controlled trial to compare patient outcomes for single-incision vs. 4-port cholecystectomy, during which they monitored heart rate and salivary cortisol levels to measure surgeon stress and workload. More

MIGS gaining acceptance
Healio
Micro-incisional and minimally invasive glaucoma surgery procedures are gaining wide acceptance with cataract surgeons, according to Eric D. Donnenfeld, M.D. In his overview of MIGS at the Ophthalmology Innovation Summit, Donnenfeld said that more surgeons and patients are considering MIGS now because of established safety and improved efficacy in real-world experience compared with initial clinical trials. More

Survival still excellent without RAI in low-risk thyroid cancer
Medscape (free login required)
Limited use of radioactive iodine (RAI) should be the strategy of choice in the treatment of low-risk differentiated thyroid cancer (DTC), as survival outcomes are excellent even without use of RAI, according to an expert single center's experience, which was published in the April issue of Thyroid. "I always say that the best treatment for thyroid cancer is a good surgeon," Wendy Sacks, M.D., from Cedars-Sinai Medical Center (CSMC), Los Angeles, California, told Medscape Medical News.More

Scalpel superior to clip, cautery in single-port laparoscopic cholecystectomy
Healio
Compared with the conventional clip and cautery technique, use of shears was superior in single-port laparoscopic cholecystectomy, according to data presented at the Society of American Gastrointestinal and Endoscopic Surgeons 2015 Annual Meeting. Investigators performed a prospective randomized controlled trial to compare surgical outcomes of single-port laparoscopic cholecystectomy performed by shears (Harmonic) vs. the conventional clip and cautery technique.More